Identifying Predictors of Longitudinal Decline in the Level of Medical Care Received by Adult Survivors of Childhood Cancer: A Report from the Childhood Cancer Survivor Study.

Journal Article (Journal Article)

OBJECTIVES: Characterize longitudinal changes in the use of medical care in adult survivors of childhood cancer. DATA SOURCES: The Childhood Cancer Survivor Study, a retrospective cohort study of 5+ year survivors of childhood cancer. STUDY DESIGN: Medical care was assessed at entry into the cohort (baseline) and at most recent questionnaire completion. Care at each time point was classified as no care, general care, or survivor-focused care. DATA COLLECTION: There were 6,176 eligible survivors. Multivariable models evaluated risk factors for reporting survivor-focused care or general medical care at baseline and no care at follow-up; and survivor-focused care at baseline and general care at follow-up. PRINCIPAL FINDINGS: Males (RR, 2.3; 95 percent CI 1.8-2.9), earning <$20,000/year (RR, 1.6; 95 percent CI 1.2-2.3) or ≤ high school education (RR, 2.5; 95 percent CI 1.6-3.8 and RR 2.0; 95 percent CI 1.5-2.7 for

Full Text

Duke Authors

Cited Authors

  • Casillas, J; Oeffinger, KC; Hudson, MM; Greenberg, ML; Yeazel, MW; Ness, KK; Henderson, TO; Robison, LL; Armstrong, GT; Liu, Q; Leisenring, W; Yasui, Y; Nathan, PC

Published Date

  • August 2015

Published In

Volume / Issue

  • 50 / 4

Start / End Page

  • 1021 - 1042

PubMed ID

  • 25600956

Pubmed Central ID

  • PMC4545345

Electronic International Standard Serial Number (EISSN)

  • 1475-6773

Digital Object Identifier (DOI)

  • 10.1111/1475-6773.12282


  • eng

Conference Location

  • United States